{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T01:41:39Z","timestamp":1785894099048,"version":"3.56.0"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T00:00:00Z","timestamp":1671148800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X22002370_as1\"><jats:title>Introduction:<\/jats:title><jats:p>While the pressure points technique for proximal hemorrhage control is long known, it is not recommended in standard prehospital guidelines based on a study showing the inability to maintain occlusion for over two minutes.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22002370_as2\"><jats:title>Main Symptom:<\/jats:title><jats:p>This report details a gunshot wound to the left axillary area with complete transection of the axillary artery, leading to profuse junctional hemorrhage and profound hemorrhagic shock.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22002370_as3\"><jats:title>Therapeutic Intervention:<\/jats:title><jats:p>Proximal pressure of the subclavian artery was applied against the first rib (the pressure points technique) and maintained for 28 minutes.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22002370_as4\"><jats:title>Outcomes:<\/jats:title><jats:p>Cessation of apparent bleeding and excellent, enduring physiologic response to blood transfusion were observed.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X22002370_as5\"><jats:title>Conclusion:<\/jats:title><jats:p>The pressure points technique can be life-saving in junctional arterial hemorrhage and should be reconsidered in prehospital guidelines.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x22002370","type":"journal-article","created":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T10:47:15Z","timestamp":1671187635000},"page":"130-133","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Pressure Points Technique for Traumatic Proximal Axillary Artery Hemorrhage: A Case 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